Comparison of Adding Treatment of PTSD During and After Shelter Stay to Standard Care in Residents of Battered Women's Shelters: Results of a Randomized Clinical Trial
Comparison of Adding Treatment of PTSD During and After Shelter Stay to Standard Care in Residents of Battered Women's Shelters: Results of a Randomized Clinical Trial
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DOI：
10.1002/jts.22117
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发表时间：
2016-08-01
影响因子：
3.3
通讯作者：
Zlotnick, Caron
中科院分区：
文献类型：
--
作者：
Johnson, Dawn M.;Johnson, Nicole L.;Zlotnick, Caron
本研究探讨了可接受性，可行性和初步疗效的扩展版本的创伤后应激障碍治疗的受虐妇女的庇护所，帮助克服创伤后应激障碍，通过授权（希望）的妇女接受标准的庇护所服务（SSS）的居民。进行了一项比较HOPE + SSS（n = 30）与SSS（n = 30）的I期随机临床试验。主要结果测量包括临床医生管理的PTSD量表（Blake埃塔尔，1995）和修订的冲突战术量表（斯特劳斯，汉比，博尼-麦考伊，和糖人，）。在治疗后1周、3个月和6个月对参与者进行随访。只有2名妇女退出了HOPE + SSS治疗。潜在增长曲线分析发现，在随访时间点上，亲密伴侣暴力（IPV）对PTSD有显著的治疗效果（= -.007，p = .021），但对未来的IPV没有显著的治疗效果（= .002，p = .709）。还发现对抑郁严重程度（= -.006，p = .052）、授权（= .155，p = .022）和资源获得（= .158，p = .036）的次要结局有显著影响。此外，在3个月和6个月随访时，HOPE + SSS中的女性比仅SSS中的女性就业人数更多。结果表明，在标准服务中增加IPV相关治疗的可接受性和可行性。他们还建议，希望可能是一个有希望的治疗受虐妇女收容所的居民。需要进一步研究更大的样本，利用更多样化的住房设置和更严格的控制条件，以确认这些发现。
This study explored the acceptability, feasibility, and initial efficacy of an expanded version of a PTSD treatment developed for residents of battered women's shelters, Helping to Overcome PTSD through Empowerment (HOPE) in women who received standard shelter services (SSSs). A Phase I randomized clinical trial comparing HOPE + SSSs (n = 30) to SSSs (n = 30) was conducted. Primary outcome measures included the Clinician-Administered PTSD Scale (Blake etal., 1995) and the Revised Conflict Tactic Scales (Straus, Hamby, Boney-McCoy, & Sugarman, ). Participants were followed at 1-week, and 3- and 6-months posttreatment. Only 2 women dropped out of HOPE + SSS treatment. Latent growth curve analyses found significant treatment effects for PTSD from intimate partner violence (IPV) ( = -.007, p = .021), but not for future IPV ( = .002, p = .709) across follow-up points. Significant effects were also found for secondary outcomes of depression severity ( = -.006, p = .052), empowerment ( = .155, p = .022), and resource gain ( = .158, p = .036). Additionally, more women in HOPE + SSSs were employed at 3- and 6-month follow-up compared to those in SSSs only. Results showed the acceptability and feasibility of adding IPV-related treatment to standard services. They also suggested that HOPE may be a promising treatment for residents of battered women's shelters. Further research with a larger sample, utilizing more diverse shelter settings and a more rigorous control condition, is needed to confirm these findings.